The evolution of clinical gait analysis - Part II - Kinematics
The evolution of clinical gait analysis - Part II - Kinematics
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DOI：
10.1016/s0966-6362(02)00004-8
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发表时间：
2002-10-01
期刊：
影响因子：
2.4
通讯作者：
Sutherland, DH
中科院分区：
文献类型：
--
作者：
Sutherland, DH
运动学在这份手稿中被视为一个单一的主题，重点是早期的历史，就像它在第一部分，肌电图。不用说，运动学、肌电图、动力学和能量（后者将包括在第三部分）都不是临床步态分析的独立组成部分。选择这种格式的唯一原因是，它减少了我一次只能写一个主题的任务。这种武断分离的后果之一是，一些贡献丰富了临床步态分析的多个部分的贡献者，只在他们贡献最大的领域被突出显示。我从第一部分的运动肌电图开始，因为临床步态分析的最早的梦想是在KEMG（运动肌电图）的发展中表达的。早期的研究人员意识到，如果没有KEMG，我们对肌肉的动态运动知之甚少。接下来，按时间顺序，是运动学。我一直是一个积极的参与者和目击者，并承担全部责任，试图在大多数贡献者还活着的时候写一个早期的历史。一般来说，历史写得要晚得多，以便充分把握个人在整体中所作贡献的重要性。如第1部分肌电图所述，重点放在早期历史上。运动分析在运动医学和运动医学功能分析中的应用，在这里只是简单地介绍一下，不应将其解释为最小化其重要性。关于这个主题的文献现在相当庞大，在这份手稿中不可能充分地涵盖它。后来的历史著作可能会有很大的不同，希望能给后人的先驱者更多的认可：那些医生、工程师、物理治疗师和运动学家，他们正在提高临床步态分析的水平，并将他们的精力用于扩大临床方向。希望这篇稿件能促使更多的稿件，以及写信给步态和姿势的编辑关于这篇综述文章的内容。(C) 2002年Elsevier Science B.V.出版
Kinematics is treated as a single topic in this manuscript and the emphasis is on early history, just as it was in Part I, Electromyography. Needless to say, neither kinematics nor electromyography, nor kinetics and energy (the latter to be included in Part III) are stand-alone components of clinical gait analysis. The only reason for this selective format is that it lessens my task to be able to write about one subject at a time. One of the consequences of this arbitrary separation is that some contributors, who have enriched more than one portion of clinical gait analysis, are highlighted only in the area in which they have contributed the most. I began with Kinesiological Electromyography in Part I because the earliest stirrings of the dream of clinical gait analysis were expressed in the development of KEMG (kinesiological electromyography). The early investigators realized that very little could be said about the dynamic action of muscles without KEMG. Next, in chronological order, came kinematics. I have been an active participant and eyewitness, and take full responsibility for attempting to write an early history at a time when most of the contributors are still alive. Ordinarily, history is written much later, in order to fully grasp the significance of individual contributions in the tapestry of the whole. As stated in Part 1, Electromyography, the emphasis has been placed on the early history. The application of motion analysis to sports medicine, and sports medicine functional analysis, is covered only lightly here, and this should not be interpreted as minimizing its importance. The literature on this subject is now quite voluminous and it would not be possible to cover it adequately in this manuscript. Later historical writings may differ significantly and will hopefully give more recognition to pioneers in later generations: those physicians, engineers, physical therapists and kinesiologists who are lifting the level of clinical gait analysis and directing their energies in expanding clinical directions. It is hoped that this manuscript will prompt additional manuscripts, as well as letters to the editor of Gait and Posture on the content of this review paper. (C) 2002 Published by Elsevier Science B.V.